Academic literature on the topic 'Burr hole cover'

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Journal articles on the topic "Burr hole cover"

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Chou, Ning. "Cranial reconstruction using a polycaprolactone implant after burr hole trephination." Journal of 3D Printing in Medicine 4, no. 1 (March 2020): 9–16. http://dx.doi.org/10.2217/3dp-2019-0022.

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Aim: This retrospective study evaluated the safety of using polycaprolactone (PCL) burr hole covers over a 10-year period. Materials & methods: Patients with PCL burr hole cover implants inserted between 1 April 2006 and 31 September 2015 were identified and included in this study. Burr hole covers were used in surgery for chronic subdural hematoma, hydrocephalus and tumor biopsy. Results: 174 patients with a total of 275 implants inserted were included in the study. Overall, the use of PCL implants was safe and did not increase the rate of surgical complications. The radiology study of two cases and histology study of a removed PCL implant demonstrated evidence of soft tissue regeneration. Conclusion: PCL burr hole covers demonstrated safety in use for craniotomy burr hole reconstruction.
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Velz, Julia, Flavio Vasella, Kevin Akeret, Sandra F. Dias, Elisabeth Jehli, Oliver Bozinov, Luca Regli, Menno R. Germans, and Martin N. Stienen. "Patterns of care: burr-hole cover application for chronic subdural hematoma trepanation." Neurosurgical Focus 47, no. 5 (November 2019): E14. http://dx.doi.org/10.3171/2019.8.focus19245.

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OBJECTIVESkin depressions may appear as undesired effects after burr-hole trepanation for the evacuation of chronic subdural hematomas (cSDH). Placement of burr-hole covers to reconstruct skull defects can prevent skin depressions, with the potential to improve the aesthetic result and patient satisfaction. The perception of the relevance of this practice, however, appears to vary substantially among neurosurgeons. The authors aimed to identify current practice variations with regard to the application of burr-hole covers after trepanation for cSDH.METHODSAn electronic survey containing 12 questions was sent to resident and faculty neurosurgeons practicing in different parts of the world, as identified by an Internet search. All responses completed between September 2018 and December 2018 were considered. Descriptive statistics and logistic regression were used to analyze the data.RESULTSA total of 604 responses were obtained, of which 576 (95.4%) provided complete data. The respondents’ mean age was 42.4 years (SD 10.5), and 86.5% were male. The sample consisted of residents, fellows, junior/senior consultants, and department chairs from 79 countries (77.4% Europe, 11.8% Asia, 5.4% America, 3.5% Africa, and 1.9% Australasia). Skin depressions were considered a relevant issue by 31.6%, and 76.0% indicated that patients complain about skin depressions more or less frequently. Burr-hole covers are placed by 28.1% in the context of cSDH evacuation more or less frequently. The most frequent reasons for not placing a burr-hole cover were the lack of proven benefit (34.8%), followed by additional costs (21.9%), technical difficulty (19.9%), and fear of increased complications (4.9%). Most respondents (77.5%) stated that they would consider placing burr-hole covers in the future if there was evidence for superiority of the practice. The use of burr-hole covers varied substantially across countries, but a country’s gross domestic product per capita was not associated with their placement.CONCLUSIONSOnly a minority of neurosurgeons place burr-hole covers after trepanation for cSDH on a regular basis, even though the majority of participants reported complaints from patients regarding postoperative skin depressions. There are significant differences in the patterns of care among countries. Class I evidence with regard to patient satisfaction and safety of burr-hole cover placement is likely to have an impact on future cSDH management.
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Dujovny, Manuel, Alberto Aviles, and Pedro Cuevas. "Bone–like Polyethelyne Burr–hole Cover." Neurological Research 27, no. 3 (April 2005): 333–34. http://dx.doi.org/10.1179/016164105x22138.

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Stienen, Martin N., Kevin Akeret, Flavio Vasella, Julia Velz, Elisabeth Jehli, Pierre Scheffler, Stefanos Voglis, et al. "COveRs to impRove AesthetiC ouTcome after Surgery for Chronic subdural haemAtoma by buRr hole trepanation (CORRECT-SCAR): protocol of a Swiss single-blinded, randomised controlled trial." BMJ Open 9, no. 12 (December 2019): e031375. http://dx.doi.org/10.1136/bmjopen-2019-031375.

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IntroductionOutcomes rated on impairment scales are satisfactory after burr hole trepanation for chronic subdural haematoma (cSDH). However, the surgery leads to bony defects in the skull with skin depressions above that are frequently considered aesthetically unsatisfactory by the patients. Those defects could be covered by the approved medical devices (burr hole covers), but this is rarely done today. We wish to assess, whether the application of burr hole covers after trepanation for the evacuation of cSDH leads to higher patient satisfaction with the aesthetical result at 90 days postoperative, without worsening disability outcomes or increasing the complication rate.Methods and analysisThis is a prospective, single-blinded, randomised, controlled, investigator-initiated clinical trial enrolling 80 adult patients with first-time unilateral or bilateral cSDH in Switzerland. The primary outcome is the difference in satisfaction with the aesthetic result of the scar, comparing patients allocated to the intervention (burr hole cover) and control (no burr hole cover) group, measured on the Aesthetic Numeric Analogue scale at 90 days postoperative. Secondary outcomes include differences in the rates of skin depression, complications, as well as neurological, disability and health-related quality of life outcomes until 12 months postoperative.Ethics and disseminationThe institutional review board (Kantonale Ethikkommission Zürich) approved this study on 29 January 2019 under case number BASEC 2018–01180. This study determines, whether a relatively minor modification of a standard surgical procedure can improve patient satisfaction, without worsening functional outcomes or increasing the complication rate. The outcome corresponds to the value-based medicine approach of modern patient-centred medicine. Results will be published in peer-reviewed journals and electronic patient data will be safely stored for 15 years.Trial registration numberNCT03755349.
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Dujovny, M., N. Dujovny, F. Viñas, Hun K. Park, and Fidel Lopez. "Burr hole cover for ventriculoperitoneal shunts and ventriculostomy: Technical note." Neurological Research 24, no. 5 (July 2002): 483–84. http://dx.doi.org/10.1179/016164102101200212.

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Im, Tae-Seop, Yoon-Soo Lee, Sang-Jun Suh, Jeong-Ho Lee, Kee-Young Ryu, and Dong-Gee Kang. "The Efficacy of Titanium Burr Hole Cover for Reconstruction of Skull Defect after Burr Hole Trephination of Chronic Subdural Hematoma." Korean Journal of Neurotrauma 10, no. 2 (2014): 76. http://dx.doi.org/10.13004/kjnt.2014.10.2.76.

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El Ahmadieh, Tarek Y., Cody B. Wolfe, Joyce Koueik, Bradley E. Weprin, Bermans J. Iskandar, and Angela V. Price. "Intraventricular bone dust migration after neuroendoscopy: report of 2 cases." Journal of Neurosurgery: Pediatrics 22, no. 5 (November 2018): 578–83. http://dx.doi.org/10.3171/2018.5.peds18152.

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Neuroendoscopy has demonstrated safety and efficacy in the treatment of a host of pediatric neurosurgical pathologies. With the increase in its applicability, several associated complications have been described in the literature. A common practice in pediatric neurosurgery is the use of Gelfoam sponge pledget in the burr hole, followed by bone fragments and dust (obtained from the created burr hole), to cover the dural defect. This technique is used to enhance burr hole sealing and potentially prevent CSF leakage from the surgical site. Reports on intracranial bone dust migration associated with this technique are scarce. The authors report 2 cases of intracranial migration of bone fragments after an endoscopic third ventriculostomy and an endoscopic colloid cyst resection. The bone fragment migration was thought to be caused by negative pressure from a lumbar puncture in one case and external trauma to the head in the other. As endoscopy becomes more widely used, it is important to be aware of this potential complication that may in some cases require an intervention. A review of the cases reported in the literature is provided and a technique is suggested to help prevent this complication.
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Schantz, Jan-Thorsten, Thiam-Chye Lim, Chou Ning, Swee Hin Teoh, Kim Cheng Tan, Shih Chang Wang, and Dietmar Werner Hutmacher. "Cranioplasty after Trephination using a Novel Biodegradable Burr Hole Cover: Technical Case Report." Operative Neurosurgery 58 (February 2006): ONS—E176. http://dx.doi.org/10.1227/01.neu.0000193533.54580.3f.

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Vasella, Flavio, Kevin Akeret, Nicolas R. Smoll, Menno R. Germans, Elisabeth Jehli, Oliver Bozinov, Luca Regli, and Martin N. Stienen. "Improving the aesthetic outcome with burr hole cover placement in chronic subdural hematoma evacuation—a retrospective pilot study." Acta Neurochirurgica 160, no. 11 (August 28, 2018): 2129–35. http://dx.doi.org/10.1007/s00701-018-3659-9.

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Oh, Byeong Ho, Yoon Young Park, Ji Kang Park, and Young Seok Park. "Vacuum-Assisted Closure with Temporalis Muscle Reconstruction for Recurrent Scalp Erosion Following Deep Brain Stimulation: A Case Report." Journal of Parkinson's Disease 11, no. 3 (August 2, 2021): 1465–69. http://dx.doi.org/10.3233/jpd-212651.

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Background: Scalp erosion is not an uncommon complication of deep brain stimulation (DBS) surgery. Although various methods have been proposed to prevent and manage complications, there are still challenges. We introduce a case of recurrent scalp erosion after DBS surgery treated with vacuum-assisted closure. Case description: This article reports the case of a patient who underwent DBS for advanced Parkinson’s disease and suffered from recurrent scalp erosion with device extrusion through the skin. Scalp erosion occurred 2 years after DBS and repeated improvement and deterioration despite scalp reconstruction using a skin flap. We opened the wound and performed temporal muscle reconstruction to cover the burr hole site, and we changed the exposed cable and applied vacuum-assisted closure. During the follow-up period, no signs of erosion or infection occurred, and DBS efficacy was preserved. Conclusion: To date, the available management strategies for scalp erosion after DBS are revision with debridement and scalp reconstruction using skin flaps or skin grafts. However, if erosion occurs repeatedly despite the above management strategies, vacuum-assisted closure with temporalis muscle reconstruction could be a suitable option. We suggest that if the condition of the scalp is weakened, it is worth considering this approach preferentially.
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Dissertations / Theses on the topic "Burr hole cover"

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Klištinec, Dávid. "Deformační a napěťová analýza lebečních fixátorů." Master's thesis, Vysoké učení technické v Brně. Fakulta strojního inženýrství, 2018. http://www.nusl.cz/ntk/nusl-382556.

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Zranenia hlavy si často vyžadujú lekársku starostlivosť, pri ktorej dochádza k stabilizácii alebo náhrade poškodeného tkaniva. Pre tento účel slúži kranioplastika, ktorá prinavracia pacientovi ochranný a kozmetický výsledok. Výber správneho materiálu kraniálneho implantátu je veľmi podstatný. Naviac potrebuje správny druh fixácie, ktorá ho udrží na mieste a predíde sa tak nedovolenému pohybu implantátu počas bežného života pacienta. Táto práca analyzuje deformačné a napäťové stavy dvoch druhov fixačných plátov prichytených na PMMA implantáte a ich mechanickej odozvy na rozličné záťažné podmienky spôsobené rôznymi stavmi kraniálnej hypertenzie a silou pôsobiacou na sústavu z exteriéru.
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Book chapters on the topic "Burr hole cover"

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Juo, Anthony S. R., and Kathrin Franzluebbers. "Soil Management: An Overview." In Tropical Soils. Oxford University Press, 2003. http://dx.doi.org/10.1093/oso/9780195115987.003.0013.

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The term “soil management” refers to the human manipulation of chemical, physical, and biological conditions of the soil for the production of agricultural plants. Good soil management helps maintain and improve soil fertility while sustaining optimum crop yield over time, whereas inappropriate soil management practices can lead to the degradation of soil fertility and a declining crop yield within a relatively short period of time. In a cropped field, where pests and disease are not limiting factors, the decline in crop yield over time may be attributed to several soil-related factors, namely, deterioration of soil physical conditions, such as surface crusting and subsurface compaction, depletion of available nutrients in the soil and soil acidification, soil moisture stress (drought or waterlogging), and the decline in soil organic matter and soil biological activity. Thus, major tasks of soil management for crop production include the following: • tillage and seedbed preparation • replenishment of soil nutrients • soil moisture management • maintenance of soil organic matter The main purposes of tillage are to loosen a compacted surface soil to facilitate seed emergence and root growth through improved soil aeration and water storage, and to eradicate weeds before planting and control subsequent weed growth during the cropping season. Common tillage practices used in tropical agriculture are as follows: • Slash-and-burn, followed by sowing seeds into holes made by punching a wooden stick into the porous surface soil. • Slash-and-burn, followed by heaping or ridging the compacted surface soil using a hand hoe. • Plowing, harrowing, and puddling in irrigated rice paddies using water buffalo or a two-wheel power-tiller. • Ridge tillage using a hand hoe, animal traction or an engine-powered tractor on crusted or compacted soils and poorly drained clayey soils. • Minimum or strip tillage with a crop-residue mulch on coarse-textured soils and on sloping land. • Conventional tillage involving plowing and harrowing on fine-textured soils and compacted soils on flatland. • Minimum tillage with a plant-residue mulch or cover crop in annual and tree crop mixed systems (agroforestry).
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Conference papers on the topic "Burr hole cover"

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Schmid, Gregor, and Heinz-Peter Schiffer. "Numerical Investigation of Inlet Swirl in a Turbine Cascade." In ASME Turbo Expo 2012: Turbine Technical Conference and Exposition. American Society of Mechanical Engineers, 2012. http://dx.doi.org/10.1115/gt2012-69397.

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New combustion concepts towards lean burn aim at reducing peak temperatures and therefore emissions, especially nitrogen oxides. High swirl is required in order to enhance the mixing of fuel and air and thus, improve combustion and flame stability. In a numerical investigation of a turbine vane cascade the effect of such inlet swirl on aerodynamic losses, secondary flow pattern and heat transfer is investigated. The computations are conducted prior to particle image velocimetry and five-hole-probe measurements in a cascade of six vane passages and swirl generators upstream of each passage. The analysis covers three constituent parts: First, different swirl intensities are simulated which resemble the situation in a real combustion chamber. Second, different clocking positions are investigated — the swirl cores are either aligned with the vane leading edge or with midpassage — and finally, swirl orientation as clockwise, anticlockwise and counter rotating swirl is analysed. Two-dimensional inlet boundary conditions are applied to model the discrete swirl cores. Furthermore, a comparison with circumferentially averaged as well as with axial inflow conditions is made. Increasing the swirl number at the inlet boundary results in reduced heat transfer coefficient within the vane passage and higher pressure loss. Heat transfer through vanes and endwalls is maximal if the swirl generators are aligned with the vane leading edge and counter rotating swirl.
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Adamou, Adamos, Ian Kennedy, Ben Farmer, Ahmed Hussein, and Colin Copeland. "Experimental and Computational Analysis of an Additive Manufactured Vaporization Injector for a Micro-Gas Turbine." In ASME Turbo Expo 2019: Turbomachinery Technical Conference and Exposition. American Society of Mechanical Engineers, 2019. http://dx.doi.org/10.1115/gt2019-90245.

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Abstract Vaporization injectors have been in existence for decades and are a well-proven method of preparing liquid fuels for combustion by heating them above the boiling point of their heaviest hydrocarbon ingredient. By doing so, it converts the fuels into a vapour prior to combustion. When attempting to apply this method of fuel vaporization to micro gas turbines, manufacturing difficulties arise, due to the small complex passages that are required to direct the fuel closer to the high-temperature zone in the combustion chamber and then back to a favourable injection location. This is where the use of additive manufacturing (AM) can prove advantageous due to the complex designs that can be achieved at much smaller scales and potentially at cheaper costs when compared to traditional subtractive manufacturing. The motivation behind the research is to improve the overall efficiency of micro-gas turbines, so they can be applied as range extenders in electric vehicles. Due to the increasing adoption of vehicle electrification. This paper covers the comparison of experimental results for two traditionally manufactured injectors and a third selective laser melted injector (SLM), which were tested in a swirl stabilised micro gas turbine can type combustor on the University of Baths gas stand. The operating range of the tests was 1–4 Bar and 30 to 630 °C inlet air. To the authors knowledge, this is the first such comparison to be made for a gas turbine in open literature, despite wide reports of AM being used in large gas turbines. From the tests, it was found that the 3 and 8 hole machined injectors could not produce stable combustion at the desired operating condition of 4 Bar and 630 °C. The SLM 8 hole injector, however, was able to sustain a stable and constant burn at this design point with low NOx, CO and THC emissions. It was also noticed that the flame colour changed from a yellow flame when testing the first two injectors, to a blue flame when testing the SLM injector suggesting more complete combustion was being achieved due to the lack of soot in burned products, this was assumed to be due to the fuel reaching its saturation conditions within the injector. A number of measurements were taken at various points around the combustor, which included temperatures, pressures and emissions readings. These results were then used to create and validate a non-premixed steady diffusion flamelet model in ANSYS Fluent for the AM injector case. The CFD results were found to overpredict the temperature by approximately 10% when compared to the thermocouple values. This was found to be similar to other studies with similar experimental and computational setups, so it was deemed acceptable. From the validated CFD model, the heat flux at the front surface of the injector was extracted, to be used in a simple heat balance model. Based on a conservative estimate of fuel temperature, the model found that the SLM injectors should have created very near saturation conditions in the nozzle. As this was a conservative analysis, it confirms the experimental findings that partially vaporized fuel was exciting the injector. The model also showed that the fuel in the traditionally machined, 8 hole injector would most likely exit as a liquid.
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